Jan, I do not have help for you on this one but I recently saw a woman over 40 who came to me for a breast cancer screening exam (BCCCP). She had one large nipple and one that was totally inverted with a large lump beneath the areola , the same size as the everted nipple. I imagine that there might be ducts aimed backwards because of the inversion. Hope things work out for your client! Cindy Church Lansing MI *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html